Active NPI
Catherine Jane Luitjens, LP
- Psychologist
- Coon Rapids, MN
National Provider Identifier
1093777591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3794
- Practice address
- 11660 Round Lake Blvd NW
Coon Rapids, MN 55433 - Phone
- (763) 767-3350
- Fax
- (763) 767-0912
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3794 | MN | Primary |
Addresses
Primary practice location
11660 Round Lake Blvd NW
Coon Rapids, MN 55433
Mailing address
1880 Austin Road
Suite 2
Owatonna, MN 55060
Phone (507) 446-8123
Other practice location 1
1880 Austin Road
Suite 2
Owatonna, MN 55060
Phone (507) 446-8123
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 789522400 | Medicaid | MN | |
| 44455LU | Other | MN | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3794 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Professionals Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Owatonna, MN
- NPI 1477516250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1093777591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 AUSTIN ROAD",
"address_2": "SUITE 2",
"city": "OWATONNA",
"state": "MN",
"postal_code": "55060",
"telephone_number": "507-446-8123",
"fax_number": "507-446-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11660 ROUND LAKE BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "55433",
"telephone_number": "763-767-3350",
"fax_number": "763-767-0912"
}
],
"practiceLocations": [
{
"address_1": "1880 Austin Road",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Owatonna",
"state": "MN",
"postal_code": "55060",
"country_code": "US",
"telephone_number": "507-446-8123",
"fax_number": "507-446-0600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUITJENS",
"first_name": "CATHERINE",
"middle_name": "JANE",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "789522400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "44455LU",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.